Recent News
Prior Authorization Required for UHC’s Medicare Advantage Insured Effective September 1, 2024
On Thursday August 1st many of you received UnitedHealthcare's Provider News email. That edition of Provider News included a section titled 'Outpatient therapy and chiropractic prior authorization required starting Sept. 1'. Due to the lack of clarity in...
Humana implements Prior Authorization for Medicare Advantage members
Effective August 29, 2024, Humana is requiring prior authorization of certain Medicare Advantage members for chiropractic manipulative therapy rendered on or after August 29, 2024. Humana advised that notice was posted on their website last month; however,...
HR1610: The Chiropractic Medicare Coverage Modernization Act of 2023
Legislation championed by ACA to increase Medicare coverage of chiropractic services is attracting cosponsors faster than ever in the U.S. House of Representatives and the U.S. Senate. Dear colleagues, I am encouraging you each to contact your Member of...
2024 End of Session Update
Thursday, June 6, was the last scheduled day of New York’s 2024 legislative session, but we went into overtime. The Senate completed their business on Friday, June 7 around 8:30 p.m. while the Assembly worked through the night and completed their work just after 7:00...
2024 End of Session Update
Thursday, June 6, was the last scheduled day of New York’s 2024 legislative session, but we went into overtime. The Senate completed their business on Friday, June 7 around 8:30 p.m. while the Assembly worked through the night and completed their work just after 7:00...
On the Agenda | June 2024 edition
On the Agenda, the official publication of the New York State Chiropractic Association (NYSCA), is published quarterly. It is designed to provide information about the Chiropractic profession and NYSCA activities and initiatives. Read the latest edition today! What's...
Educational Resources for Chiropractic Billing and Coding Training
Accurate chiropractic billing and coding is essential for maintaining healthy cash flow, reducing claim denials, and ensuring compliance with payer requirements. As billing rules continue to evolve, many chiropractic offices invest in structured training for...
Special Alert: Facts about VBA Stroke and the Safety of Chiropractic
As a Foundation for Chiropractic Progress (F4CP) Group Member, we want you to know we are working for you every day to continue to promote the positive and combat the negative media as it may arise. Historically, our team anticipates negative media in advance of May’s...
Highmark Prior Authorization Program Updates
As many of you have been aware, the NYSCA has been in communication with both Highmark and the NYS Department of Financial Services regarding of our member's concerns, including Highmark's implementation of a prior authorization program. NYSCA member issues...
Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates
On March 18, 2024, the OCR updated this guidance to increase clarity for regulated entities and the public. The Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) is issuing this Bulletin to highlight the obligations of Health...
Updates to Highmark’s Physical Medicine Management Page
On 3/27/24 Highmark updated the regional Physical Medicine Management page. The link for 'Submitting a Prior Authorization for Chiropractic (Outpatient Therapy)' is now active. As many had noted, this link previously resulted in an error message "Sorry, we couldn't...
Highmark Effective Date moved to May 1
On March 25th, Highmark of WNY and NE NY posted a Special Bulletin in their Provider Resource Center for each region of New York. In that notice, Highmark noted they have 'decided to move back the effective date from April 1, as previously announced, to May...
Highmark to Implement a Prior Authorization Program
As noted in our previous communication, Highmark BCBS of Western NY and Northeastern NY is implementing a prior authorization program for certain services rendered by DCs, PTs, OTs and home care providers. This program only applies to Highmark's commercial products....
Update on NYSED Practice Alert re: Utilization of Diagnostic Ultrasound by Chiropractors
The NYSCA would like to flag a recent practice alert that was issued by the New York State Board of Chiropractic that you should have all received in your email. We know that you get a lot of email, but this was an important practice alert, and we wanted to make sure...
Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates
On March 18, 2024, the OCR updated this guidance to increase clarity for regulated entities and the public. The Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) is issuing this Bulletin to highlight the obligations of Health...